Provider Demographics
NPI:1982311171
Name:HESS, LOUISA
Entity Type:Individual
Prefix:
First Name:LOUISA
Middle Name:
Last Name:HESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 LITTLE BIGELOW RD # 24
Mailing Address - Street 2:
Mailing Address - City:CARRABASSETT VALLEY
Mailing Address - State:ME
Mailing Address - Zip Code:04947-5366
Mailing Address - Country:US
Mailing Address - Phone:207-944-0079
Mailing Address - Fax:
Practice Address - Street 1:940 CENTRAL PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8853
Practice Address - Country:US
Practice Address - Phone:970-879-1632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist